PERSISTENT POOR QUALITY IN NURSING HOMES

描述：美国政府问责局最近的一份报告指出，25%的养老院存在严重的质量问题，这些问题可能会伤害居民或使他们面临死亡风险（GAO, 1999a）。此外，许多养老院被认为有慢性问题。分别检查，间隔大约12个月。这些家庭中有40%存在严重的质量问题，其中大多数处于相同或类似的护理领域。显然，这是一个令人不安的事态，只会增加养老院行业的负面形象。我们需要进行研究，以确定哪些设施的质量一直很差，为什么会出现这种情况，以及如何进行改进。本应用程序考察了这些研究目标中的第一个。具体来说，我们建议确定哪些设施的质量一直很差。

DESCRIPTION: A recent General Accounting Office GAO report identified 25 percent of nursing homes as having serious quality problems that can either harm residents or place them at risk of death (GAO, 1999a). In addition, many of these nursing homes were identified as having chronic problems. In separate inspections, approximately 12 months apart. 40 percent of these homes persisted with serious quality problems, most being in the same or similar area of care. Clearly, this is a troubling state of affairs and can only add to the negative image of the nursing home industry. We are in need of research to identify which facilities have persistently poor quality, why this is the case and how improvements can be made. This application examines the first of these research goals. Specifically, we propose to determine which facilities have persistently poor quality. We believe examining persistently poor quality is important. Many research have examined the quality of long-term care others examined specific area of care. The majorities of these studies use cross-sectional data; with the accompanying limitation that the effects identified probably include facilities with sporadic poor or high quality. Consistently poor or high quality is seldom examined, yet this represents a more refined approach to investigating the quality construct.